DOI QR코드

DOI QR Code

Hong Kong Chinese Women's Lay Beliefs about Cervical Cancer Causation and Prevention

  • Wang, Linda Dong-Ling (Centre for Psycho-Oncology Research & Training, School of Public Health, The University of Hong Kong) ;
  • Lam, Wendy Wing Tak (Centre for Psycho-Oncology Research & Training, School of Public Health, The University of Hong Kong) ;
  • Wu, Joseph (Division of Epidemiology and Biostatistics, School of Public Health, The University of Hong Kong) ;
  • Fielding, Richard (Centre for Psycho-Oncology Research & Training, School of Public Health, The University of Hong Kong)
  • Published : 2014.10.11

Abstract

Background: This study aimed to seek insights into Chinese women's lay beliefs about cervical cancer causal attributions and prevention. Materials and Methods: Twenty-three new immigrant adult women from Mainland China and thirty-five Hong Kong adult women underwent semi-structured in-depth interviews. Interviews were audio taped, transcribed and analyzed using a Grounded Theory approach. Results: This study generated three foci: causal beliefs about cervical cancer, perceived risk of cervical cancer, and beliefs about cervical cancer prevention. Personal risky practices, contaminated food and environment pollution were perceived as the primary causes of cervical cancer. New immigrant women more likely attributed cervical cancer to external factors. Most participants perceived cervical cancer as an important common fatal female cancer with increased risk/prevalence. Many participants, particularly new immigrant women participants, expressed helplessness about cervical cancer prevention due to lack of knowledge of prevention, it being perceived as beyond individual control. Many new immigrant participants had never undergone regular cervical screening while almost all Hong Kong participants had done so. Conclusions: Some Chinese women hold pessimistic beliefs about cervical cancer prevention with inadequate knowledge about risk factors. Future cervical cancer prevention programs should provide more information and include capacity building to increase Chinese women's knowledge and self-efficacy towards cervical cancer prevention.

Keywords

References

  1. Branstrom R, Kristjansson S, Ullen H (2006). Risk perception, optimistic bias, and readiness to change sun related behaviour. Eur J Public Health, 16, 492-7.
  2. Cameron LD (2008). Illness risk representations and motivations to engage in protective behavior: The case of skin cancer risk. Psychol Health, 23, 91-112. https://doi.org/10.1080/14768320701342383
  3. Census and Statistics Department (2012a). 2011 Population Census Summary Results. (Hong Kong). Retrieved from http://www.census2011.gov.hk/pdf/summary-results.pdf#page=57.
  4. Census and Statistics Department (2012b). 2011 Population Census Thematic Report: Persons from the Mainland having resided in Hong Kong for less than 7 Years. (Hong Kong). Retrieved from http://www.census2011.gov.hk/pdf/PMR.pdf.
  5. Chan SSC, Cheung TH, Lo WK, Chung TKH (2007). Women's attitudes on human papillomavirus vaccination to their daughters. J Adolesc Health, 41, 204-7. https://doi.org/10.1016/j.jadohealth.2007.04.011
  6. Chapple A, Ziebland S, McPherson A (2004). Stigma, shame, and blame experienced by patients with lung cancer: qualitative study. Brit Med J, 328, 1470-3. https://doi.org/10.1136/bmj.38111.639734.7C
  7. China Cancer Database (2010). Cervical neoplasm surveillance. Available http://cancernet.cicams.ac.cn/index.php?option=content&task=view&id=30&Itemid=48 [Accessed December 2010].
  8. Choi HCW, Leung GM, Woo PPS, Jit M, Wu JT (2013). Acceptability and uptake of female adolescent HPV vaccination in Hong Kong: a survey of mothers and adolescents. Vaccine, 32, 78-84. https://doi.org/10.1016/j.vaccine.2013.10.068
  9. Del Castillo A, Godoy-Izquierdo D, Vazquez ML, Godoy JF (2011). Illness beliefs about cancer among healthy adults who have and have not lived with cancer patients. Int J Behav Med, 18, 342-51. https://doi.org/10.1007/s12529-010-9141-6
  10. Department of Health (2013). Cervical Screening Programme. Available http://www.cervicalscreening.gov.hk/eindex.php [Accessed March 2013].
  11. Else-Quest NM, LoConte NK, Schiller JH, Hyde JS (2009). Perceived stigma, self-blame, and adjustment among lung, breast and prostate cancer patients. Psychol Health, 24, 949-64. https://doi.org/10.1080/08870440802074664
  12. Ferlay J, Soerjomataram I, Ervik M, et al (2013). GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11. Available http://globocan.iarc.fr/ [Accessed March 2014].
  13. Figueiras MJ, Alves NC (2007). Lay perceptions of serious illnesses: An adapted version of the Revised Illness Perception Questionnaire (IPQ-R) for healthy people. Psychol Health, 22, 143-58. https://doi.org/10.1080/14768320600774462
  14. Inoue M, Iwasaki M, Otani T, Sasazuki S, Tsugane S (2006). Public awareness of risk factors for cancer among the Japanese general population: a population-based survey. BMC Public Health, 6, 1471-2458
  15. Kelley HH, Michela JL (1980). Attribution theory and research. Annu Rev Psychol, 31, 457-501. https://doi.org/10.1146/annurev.ps.31.020180.002325
  16. Kessels SJM, Marshall HS, Watson M, et al (2012). Factors associated with HPV vaccine uptake in teenage girls: a systematic review. Vaccine, 30, 3546-56. https://doi.org/10.1016/j.vaccine.2012.03.063
  17. Keusch GT, Wilentz J, Kleinman A (2006). Stigma and global health: developing a research agenda. Lancet, 367, 525-7. https://doi.org/10.1016/S0140-6736(06)68183-X
  18. Kwan TTC, Chan KKL, Yip AMW, et al (2008). Barriers and facilitators to human papillomavirus vaccination among Chinese adolescent girls in Hong Kong: a qualitativequantitative study. Sex Transm Infect, 84, 227-32. https://doi.org/10.1136/sti.2007.029363
  19. Lai B, Tang C, Chung T (2009). Age-specific correlates of quality of life in Chinese women with cervical cancer. Support Care Cancer, 17, 271-8. https://doi.org/10.1007/s00520-008-0473-6
  20. Lam WWT, Fielding R (2003). The evolving experience of illness for Chinese women with breast cancer: a qualitative study. Psycho-Oncol, 12, 127-40. https://doi.org/10.1002/pon.621
  21. Lebel S, Devins GM (2008). Stigma in cancer patients whose behavior may have contributed to their disease. Future Oncol, 4, 717-33. https://doi.org/10.2217/14796694.4.5.717
  22. Lee PW, Kwan TT, Tam KF, et al (2007). Beliefs about cervical cancer and human papillomavirus (HPV) and acceptability of HPV vaccination among Chinese women in Hong Kong. Prev Med, 45, 130-4. https://doi.org/10.1016/j.ypmed.2007.07.013
  23. Li J, Kang LN, Qiao YL (2011). Review of the cervical cancer disease burden in mainland China. Asian Pac J Cancer Prev, 12, 1149-53.
  24. Li SL, Lau YL, Lam TH, et al (2013). HPV vaccination in Hong Kong: uptake and reasons for non-vaccination amongst Chinese adolescent girls. Vaccine, 31, 5785-8. https://doi.org/10.1016/j.vaccine.2013.10.027
  25. Li ZF, Wang SM, Shi JF, et al (2012). Combined screening of cervical cancer, breast cancer and reproductive tract infections in rural China. Asian Pac J Cancer Prev, 13, 3529-33. https://doi.org/10.7314/APJCP.2012.13.7.3529
  26. Lykins EL, Graue LO, Brechting EH, et al (2008). Beliefs about cancer causation and prevention as a function of personal and family history of cancer: a national, population-based study. Psychooncology, 17, 967-74. https://doi.org/10.1002/pon.1306
  27. Marteau TM, Hankins M, Collins B (2002). Perceptions of risk of cervical cancer and attitudes towards cervical screening: a comparison of smokers and non-smokers. Fam Pract, 19, 18-22. https://doi.org/10.1093/fampra/19.1.18
  28. Maskarinec G, Gotay CC, Tatsumura Y, Shumay DM, Kakai H (2001). Perceived cancer causes - use of complementary and alternative therapy. Cancer Pract, 9, 183-90. https://doi.org/10.1046/j.1523-5394.2001.94006.x
  29. Natphopsuk S, Settheetham-Ishida W, Sinawat S, et al (2012). Risk factors for cervical cancer in northeastern Thailand: detailed analyses of sexual and smoking behavior. Asian Pac J Cancer Prev, 13, 5489-95. https://doi.org/10.7314/APJCP.2012.13.11.5489
  30. Shepherd MA, Gerend MA (2013). The blame game: cervical cancer, knowledge of its link to human papillomavirus and stigma. Psychol Health, 29, 94-109.
  31. Slattery ML, Robison LM, Schuman KL, et al (1989). Cigarette smoking and exposure to passive smoke are risk factors for cervical cancer. JAMA, 261, 1593-8. https://doi.org/10.1001/jama.1989.03420110069026
  32. Stewart DE, Duff S, Wong F, Melancon C, Cheung AM (2001). The views of ovarian cancer survivors on its cause, prevention, and recurrence. Medscape Womens Health, 6, PMID: 11698927.
  33. Strauss AL, Corbin JM (1998). Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory, 2nd edn. SAGE, California.
  34. Sullivan HW, Rutten LJF, Hesse BW, et al (2010). Lay representations of cancer prevention and early detection: associations with prevention behaviors. Prev Chronic Dis, 7, A14.
  35. Wang LDL, Lam WWT, Wu J, Liao Q, Fielding R (2014). Chinese immigrant parents' vaccination decision making for children: a qualitative analysis. BMC Public Health, 14, 133. https://doi.org/10.1186/1471-2458-14-133
  36. Weinstein ND, Slovic P, Waters E, Gibson G (2004). Public understanding of the illnesses caused by cigarette smoking. Nicotine Tob Res, 6, 349-55. https://doi.org/10.1080/14622200410001676459
  37. Wold KS, Byers T, Crane LA, Ahnen D (2005). What do cancer survivors believe causes cancer? (United States). Cancer Cause Control, 16, 115-23. https://doi.org/10.1007/s10552-004-2414-0
  38. Zeng XT, Xiong PA, Wang F, et al (2012). Passive smoking and cervical cancer risk: a meta-analysis based on 3, 230 cases and 2, 982 controls. Asian Pac J Cancer Prev, 13, 2687-93. https://doi.org/10.7314/APJCP.2012.13.6.2687
  39. Zhao FH, Tiggelaar SM, Hu SY, et al (2012). A multi-center survey of HPV knowledge and attitudes toward HPV vaccination among women, government officials, and medical personnel in China. Asian Pac J Cancer Prev, 13, 2369-78. https://doi.org/10.7314/APJCP.2012.13.5.2369

Cited by

  1. Lay Beliefs, Knowledge, and Attitudes Towards Cancer: a Pilot Study in Japan vol.16, pp.8, 2015, https://doi.org/10.7314/APJCP.2015.16.8.3247
  2. Psychosocial determinants of Chinese parental HPV vaccination intention for adolescent girls: preventing cervical cancer vol.24, pp.10, 2015, https://doi.org/10.1002/pon.3859
  3. The missing piece: cancer prevention within psycho-oncology - a commentary vol.24, pp.10, 2015, https://doi.org/10.1002/pon.3916
  4. Why did I get cancer? Perceptions of childhood cancer survivors in Korea vol.57, pp.4, 2018, https://doi.org/10.1080/00981389.2018.1436113